HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED
BY Permit Number: "I
St. Lucie County
Building Permit Application ie NAY
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Planning and Development Services � ttn0 Dope
Building and Code Regulation Division Lug Dope
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXXXX Residential
PERMIT APPLICATION FOR: Electrical III
Address: 15601 West Midway Road. Fort Pierce, Florida 34945
Legal Description:1/12 36 38 THAT PART OF E 1/2 OF SEC 1-36-38 LYG S OF WHITE CITY RD AND S OF SR 70- LESS RD
R/WS AS IN OR 43-317 AND LESS CANAL RS/WAND LESS OKEE RD WIDENING AS IN OR 308-2043 AND AS IN OR 1999-147-AND THAT PART OF SEC 12-36
MPDAF- N V2 OF NE 1A LESS RD AND CANAL RSMI-i237.54AC1(OR 1161-2685)
Property Tax ID #: 3201-133-0005-000-0 Lot No.
Site Plan Name: St. Lucie County Fairgrounds Block No.
Project Name: New Upgrades of Electrical Panels at the St. Lucie County Fairgrounds -Phase II
Setbacks Front Back: Right Side: Left Side:
Replace rack mounted panels DP1A, DP1 B and all other euipment. Other equipment includes dissconnect switches, GFCI
receptacles, time clocks and lighting contactors. Replace panel DP2 with a new panel MDP2 at same location.
Replace panel MDP3 with a new MDP3 at same location.
C0S7RU iION0INRQRM�ATIQN
Mona war to e errormea
unclertnispermrt-c ec all
apply:
JHVAC Gas Tank
❑Gas Piping
_Shutters
QWindows/Doors
Electric OPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction: $ rotes!'
ra: tilities:
Sewer DSeptic
Building Height:
OW, NER%_ITFSSEE pw_ner_ �
`C®NTRACf®R Electrical _
Name St. Lucie County
Name: Bruce David Collins Jr.
Address: 2300 Virginia Ave
Company: Davco Electrical Contractors Corp.
City: Fort Pierce State: FL.
Zip Code: 34982 Fax:
Phone No. 772-462-6413
Address: 4885 Park Ridge Blvd.
City: Boynton Beach State: FL.
Zip Code: 33426-8316 Fax: 561-732-3414
Phone No. 561-732-3434
E-Mail;-ivey-platts@stlucie.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: estimating@davcoelectdc.com
State or County License: EC0000673
it value of construction is $Z5D0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTA,L�CONSTRUCTION�LIEN L W,CIN
MA?TiION y73,
LL
DESIGNER/ENGINEER: _ Not Applicable
Name: Sims Wilkerson Cartier Engineering, Inc.
MORTGAGE COMPANY:
Name:
J Not Applicable
Address: 12124 High Tech Avenue, Suite 200
Address:
City: Orlando State: FL
Zip: ';2A17 Phone 4m_�an_n4nn
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorr{ey before
comm€ilcinHwork or recording vouftotice of Commencerrt>?nl. n Y�
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Signature of Owner/ Lessee/Contractor as gepf for Owner
Signature of Contrac or/License Holder
Bruce David Collins Jr. / P (dent
Bruce David Collins Jr. / Pres{ Ig t
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF Palm Beach
The forg ng ins r entwas acknowledge�d}�fore me
The fo Ong Instrument as acknowledged efore me
C-v
this ay of 4 20LY by
this day of 20-Lb by
Bruce David Collins Jr. / President
Bruce David Collins Jr. / President
Name of perso making statement
Name of pe s n making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
prodUc
Pro ced ••""'",::• JASMINSALGG
MY COMMISSION#GG 03072
S: January 15, 2021
".U. C`;'� BavkdThtu Notary PuM Und
(Signature oary Public- State of Florida)
(Signature of Nofa
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-Commission No. •• (Sea
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mission No.�,.1
MYCOW6Q�-N. ei 330720
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EXPIRES: Ja:•:•15.2021
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EXPIRES:
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REVIEWS
FRONT ZONING
LANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
VIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17